Treatment adherence in Malagasy patients with atopic dermatitis (N.H. RAZANAKOTO MD, Madagascar) [World Skin Health Day 2022 – Madagascar]

Treatment adherence in Malagasy patients with atopic dermatitis [Video on Demand] : LINK


Introduction Atopic Dermatitis (AD) is a chronic inflammatory skin disorder characterized by intense pruritic eczematous lesions. Poor adherence to treatment is a major factor limiting treatment outcomes in patients with AD.

Methods Our study aimed to assess the treatment adherence in malagasy patients with AD using the Morisky Medication Adherence Scale-8 (MMAS-8). It was a prospective study over a period of one year in chidren and adult patients with AD seen at the two Departments of Dermatology at the University Hospital Joseph Raseta Befelatanana, Antananarivo.

Results We studied 44 children and 21 adults. The mean age was respectively 4.29 ± 4.13 years and 35.28 ± 16.88 years. All of our patients receive topical treatment and none of them receive specific oral treatment such as biotherapy or immunosuppressant. Low adherence rate is seen in 61.90% of adult patients where mean MMAS-8 score was 2.56 ± 1.6. In children, mean MMAS­-8 score was 5.9 ± 1.53 and poor adherence was seen in 43.73%. Adherence level was significantly associated with insurance healthcare/medication copayments, alcool and marital status (p<0.05).

Conclusion Low treatment adherence is preponderant in Malagasy patients with AD. We didn’t find significant correlation between adherence level and age, annual income, return apointments, severity of AD.

CV of Presenter

· Graduated from the Antananarivo Faculty of Medicine

· Specialized Training degree in Dermatology- Venereology from the Paris Medical University

· Member of the « SOMADER » (Société Malgache de Dermatologie), « ADF » (Association des dermatologistes francophones)

Author of more than 10 scientific articles, Co-author in numerous scientific papers

Presentation and description by Dr Naina Harinjara RAZANAKOTO MD (Madagascar) [French; World Skin Health Day 2022 -Madagascar] (To find the presentation simply use the filter buttons from the event homescreen)

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